Scrotal mass

Abstract

A 22-year-old male presents with a left scrotal mass. He notes that he was playing soccer about 5 weeks ago and sustained mild trauma to the left hemiscrotum at that time. The trauma prompted him to palpate his testicle, at which time he noted the mass. The patient states that he had mild pain initially that resolved on its own and denies any hematoma. He denies any pain at this time. He states that the mass does not seem to be increasing in size and that it is approximately the size of a large almond. The mass, he notes, seems to be "in the middle"of his left testis. On review of symptoms, he denies subjective fevers, chills, dysuria, gross hematuria, or urethral discharge. Physical examination reveals a firm 2 cm mass within the left testis. There is no pain to palpation. There are no epididymal masses bilaterally, and the right testis is normal to examination. Abdominal exam reveals no masses and no hepatomegaly. There are no supraclavicular nodes and no gynecomastia. Laboratory analysis reveals a normal urinalysis and complete blood count.